| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| River Falls Area Hospital | , River Falls | G0269 | $36 [source] | 3 years ago |
| Aspirus Wausau Hospital | 333 Pine Ridge Blvd, Wausau | G0269 | $324 [source] | 3 years ago |
| Aspirus Stevens Point Hospital | 5409 Vern Holmes Dr, | G0269 | $324 [source] | 3 years ago |
| Aspirus Riverview Hospital | 410 Dewey St, Wisconsin Rapids | G0269 | $324 [source] | 3 years ago |
| Aurora Medical Center Summit | 36500 Aurora Dr, Oconomowoc | G0269 | $600 [source] | 3 years ago |
| Watertown Regional Medical Center | 125 Hospital Drive, Watertown | G0269 | $694 [source] | 3 years ago |
| Aurora Sheboygan Memorial Medical Center | 2629 N 7Th St, Sheboygan | G0269 | $840 [source] | 3 years ago |
| Aurora Medical Center Of Oshkosh | 855 N Westhaven Dr, Oshkosh | G0269 | $925 [source] | 3 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | G0269 | $949 [source] | 3 years ago |
| Aurora Baycare | 1160 Kepler Dr, Green Bay | G0269 | $965 [source] | 3 years ago |
| Aurora Medical Center Bay Area | 3003 University Dr, Marinette | G0269 | $1,030 [source] | 3 years ago |
| Aurora Medical Center Of Washington County | 1032 E Sumner St, Hartford | G0269 | $1,040 [source] | 3 years ago |
| Aurora Medical Center Burlington | 252 Mchenry St, Burlington | G0269 | $1,190 [source] | 3 years ago |
| Aurora Medical Center Kenosha | 10400 75Th St, Kenosha | G0269 | $1,210 [source] | 3 years ago |
| Aurora Medical Center Grafton | 975 Port Washington Road, Grafton | G0269 | $1,250 [source] | 3 years ago |
| Ascension All Saints Hospital | 1320 Wisconsin Ave, Racine | G0269 | $1,265 [source] | 3 years ago |
| Midwest Orthopedic Specialty Hospital, Llc | 10101 S 27Th St, Franklin | G0269 | $1,265 [source] | 3 years ago |
| Ascension St Francis Hospital | 3237 S 16Th St, Milwaukee | G0269 | $1,265 [source] | 3 years ago |
| Ascension Se Wisconsin Hospital-St Joseph Campus | 5000 W Chambers St, Milwaukee | G0269 | $1,265 [source] | 3 years ago |
| Aurora Sinai Medical Center | 945 N 12Th St, Milwaukee | G0269 | $2,890 [source] | 3 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | G0269 | $2,890 [source] | 3 years ago |
| Aurora West Allis Medical Center | 8901 W Lincoln Ave, Milwaukee | G0269 | $2,890 [source] | 3 years ago |
| Aurora St Luke's South Shore | 5900 S Lake Dr, Cudahy | G0269 | $2,890 [source] | 3 years ago |